Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301074180 | MI |
N | 111NI0900X | Internist | 4301074180 | MI |
N | 207RC0000X | Internist - Cardiovascular Disease | 4301074180 | MI |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 4301074180 | MI |
NPI | 1124104799 |
---|---|
Provider Name | Krit Jongnarangsin |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5856 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 22/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4681770 | (05) | MI |
H88664 | (02) | MI |